Healthcare Provider Details

I. General information

NPI: 1093162372
Provider Name (Legal Business Name): BRIGIT HURLEY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. BRIGIT MCTIGUE

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 HOLLY PL
LARCHMONT NY
10538-1346
US

IV. Provider business mailing address

62 HOLLY PL
LARCHMONT NY
10538-1346
US

V. Phone/Fax

Practice location:
  • Phone: 626-831-8457
  • Fax:
Mailing address:
  • Phone: 626-831-8457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: